Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $10,471.29	Facility		$1,698.24	$4,168.69	$10,471.29
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $22,387.21	Facility		$2,754.23	$5,128.61	$22,387.21
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	52	$17,782.79	$17,782.79	$17,782.79
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $7,762.47	Facility		$1,096.48	$1,995.26	$7,762.47
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,918.31 / $20,417.38	Facility		$2,691.53	$6,918.31	$20,417.38
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $14,454.40 / $26,915.35	Facility		$4,168.69	$14,454.40	$26,915.35
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,025.60 / $22,387.21	Facility		$2,754.23	$6,025.60	$22,387.21
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	52	$17,782.79	$17,782.79	$17,782.79
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $26,915.35	Facility		$2,691.53	$7,244.36	$26,915.35